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Home My WebLink About3002 COOLIDGE AVE - Building Permits,, ADV��ant to fill in all spaces CiTY oF COSra ��a CqN�I H�Iy,IJUfv PERMIT PER No Project Address G� ��lf! ' ApplicanYsMailing ddress 'It��6� �L $n�'JETO /Q✓� Owner's Name ��A M/�� vL��"� �J�S Phone 6�`� `s Address —1Lj[Y1r Arch/Eng. License No.�� Address � Contractor's Name 0 O r` � Phone � Addresslma'I' gl 2 �� K� i City Licens� No � ' LICENSED CONTRACTOR DECLARATION I M1¢re�y a/�i�m thal 1 am licensetl untler provisions of Charter 9(commendng with section 7000) of oivision 3 of the Business antl Professions Code, antl my license is in full for a e tect. Licens% 4I � L�ice�n/s�e Nf� Date /�/.�� 5'9 1 s� ..Y�{� W00.KER5' COMPENSATION DE ARATION ' � I hereby affirm that I have a certif ate of consent to selLinsure or a certificate ot Worker5' Compensation InswanGe, Or a certifietl copy thereoi (Sectlon 3800, La�. C.) , Policy No. Company eCerti(ietl copy is hereby furnishetl. ' Certitietl copy is (iled with the city Builtlinq Division. Date APplicant EXEMPTION FROM WORKERS' COMPENSATION DECIARATION (This section neeC not be completetl if the permit i5 for one huntlretl ($300) or less�. I cer[ify that in the perfo�mance ot the wo�k tor which thi5 pe�m�t is i55ueA, I shall not employ any p¢r5on in any man er So as to [ f ubjett [o the Workers% Cp},m`P�n�] tion Laws ot Californ'� � � , Date � $ Signatu�e NOTICE: If, after making this tleUara n; you shoultl become subject to the - Worke�s' Compensation provisions o the Labo� Cotle, you must torthwith comply wi[h such provisions or thi5 permif shall be deemetl revoketl. CONSTRUCTION LENDING AGENCV 1 hereby affi�m that [here is a mnstruction lentling�agency for the pertormance ot tM1e work tor which this permit is issuetl (Section 3097JCiv. C.) Lentler'S Name Lentler's Adtlre55 - OWNER BUILDEH �ECLARATION 1 M1ereby affirm that I am exempt from the Contractor's License'Law for the following rea5on (Section ]031.5 Buslness antl Profes5ional�CotlerAny city or wunty which require5 a pe�mit to construct, alter, imP/ove, tlemolish o� repair any structure, p�io� to its issuance, also requires the applicant tor Such permi[ to file a signetl slatement that he/she is licensetl pursuant to th¢ prOvisions of the Contractor's.License law (Chapter.9 (commencin9 with SecHon 7000) ot Division 3 ot the Bu5ine55 antl Profe55ion5 Code) or Ihat he/She is ezempt fh¢refrom antl the basis for the allegetl exemption. Any violation of Section ]031.5 by any applicant tor a permit subjects Ihe applicant lo a civil penalty of not more than five huntlretl tlollars (E500). ❑ I, as owner oi the property or my employees with wa9es as their sole compensation; wlll tlo the wo�k, antl the structure is mt intentletl or ofteretl for'sale (Section 7044, Business antl Professional Code: The Contractor's Litense Law tloes not apply [o an owner ot a property who builtls or improves thereon, anA who tloes such work himself/herselt or tnrough his or her own emp yees, providetl that such improvements are not intentletl or otteretl for If, howeveq the'builtling or improvement is 5oltl wluiin one ycar of com- I ion the �owner will have the bu�den Ot provin9 he/she ditl not builtl or im- orthe Ou�pose of sale). .I, as owner of the proDerty, am �exclusively contractinq with licensetl con- t� cto�s to const�uct the pwject 15ection 7044, BuSinesS antl Pro(essions Cotle: T e Contractor's l.icense Law does not appry to an owne� of property who builtls or improve5 [hereon, antl who conGacts for such projects with a con- tractor(s) iicense pursuant m the Contractor's �icense Law). I am aware that proo( ot their Worker's Compensation insu�ance shoultl be provitletl to me. ❑�I am exempt untler Section B. & P. C. for this reason Si9nature CMF — Owner 1 have reatl tnis apo��cation antl state that the above I a9ree to comply with all city antl county ortlinances to builtling mnstruction, antl hereby aut - � to enter upon tM1e a - prope�ty fo� 9t — White [hose wi�M1in heavY,�ortler lines antl siqn all apProOriate tleclarations. �/�� TRACT NO. � LOT NO. , - UNIT NU. TYP❑E OF CONSTRUCTI❑ON NEw❑ _ aDD ALTERATION I[dREPA1R CONVERSION DEMOLISH OTHER AP # DESCRIPTION OF WORK/USE OF BLDG. � � � S Main Building: TVPE OF PERMIT GRADING 4..YtvUrvDATIOrv STRUCTV RAL � .T Front ❑ TENANT O ELECTRICAI_' wXPLUMBING ❑ MECHANICAL 8 Rear � ❑ OTHER . � :� PROJECT DESCRIPTION Sa. F7. oCCUPANcv �C A�ght � CONSTRUCTIONTVPE � VALUATION$ g Left � 20NE GRADINGGU.V�S. AGRES p�ng.Ref.# Remarks: � . Planning Notes: Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee Outlets $15 Duct - Under Grountl Duct - Structural Duct-Ven[ilating ' Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating Sysrem & Ducting ❑0.100,000 BTU �100,000 Reinspection Fee Goltlenrotl - Assessor $15 Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet �eCer Heater Water Service Auto-Wash Isue Fee Hood or Type I ❑ Canopy ' Type I I � ❑ Refrigeration System - ❑0.100,OOOBTU ❑t00,0006T System Repair/Alteration � Eire Dampers Registers � ' ' � � 'Isue Fee $ 3 FEES $ 3 Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher .Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device Boxes OULICIS 3269 I/15/88 : Zone Accessory Building: Parking Req./Provided � ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑uptOl00amp5 . Meter ❑over 100amps Garbage DiSpoui Generator �0-5 KW �5-75 KW Sub Panel Motors DO-1 HP 01 h- 8 InaSola� �9-15 HP 016�15+ Microwave Pole Light Range Sign Standing Sections Trash Compactor I'Reinspection Pee � $15 ' � Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zaning Approved By Building Appraved By Aooliwtion Issued Bv 5,00 TL FEES $ 3 2 O N 1 N G R E Q M T $ � SUMMARY OF FEES . - BUILDING PERMIT $ SMIP $ PLAN CHECK � $ PEFiM1T � - PLUMBING $ O ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ . PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTALFEE $ � PLAN CHECK 25% $ , � CONSTRUCTION AND�PLANNING ' _ � � POOL & SPA ,� ' � I APPROVALS Permi4�# Date Inspector� APPROVALS Permit# Date . Insper.tor .✓ . � 1i Temporary Electrical-�Se.cvice or Pole � 52. Pool & Equipment Location � ' � 2. Soil Pipe-Undrgrnd�� ' � 53. Steel Reinforcement � . 3. Electrical Conduit Utility�Undrgmd. _ . ; 54. Forms . � 4. Electrical Conduit-Undrgmd. � � � � 55. Electrical Bonding ' r-� 5. Steel Reinforcement�-"� � � . 56. Rough, Plumbing & Pressure Test � � 6. Electrical UFER Gmd. . 57. APPROVAL TO COVER-GUNITE 7. Footings C. , � ' 58. Electrical Conduit�Undrgrnd. .'' 8. Foundation '"� j -� �- 59. Gas Pipe, O Undrgrnd., Test , , - n; 9. Water Pipe-Undrgrnd. � ,- - - 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System � 61. APPROVAL TO DECK ' 11. Property Sewer Line & House Connection ' �• 62. Backwash & Receptor-Final ' 12. Sewer Cap ` . _ ; � 63. Heater & Vent-Final ' . . � •13. Roof Drains �, . � 64. Plumbing SYstem - Final 14. Rough Plumbing " . � 65. Electrica6Final ' + 15. Rough Electrical-Conduit , 66. �Solar System-Final 16. Rough Electric Wiring , - � � 67. Fencing & Access Approval• . 17. Raugh Wiring Sign �� : �� C i • �� 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling �, �� 69. POOUSPA SYSTEMS FINAL ; �19. Rough Heating & Air Conditioning FIRE D�EPT. REQUIREMENT � 20. Rough Factory Fireplace , � , APPROVALS Permit # _ �/ 21. Ducts,in Structure , 70. Underground Hydro . 22. Ducts, Ventilating � 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test � 72. Underground Flush � 24. Roof Framin � 9 � 73. Undergmd. Storage Tank O Gas ❑ Oil . 25. Roof Sheathing � � �� . 74. Overhead Hydro 26. T-Bar Ceiling (Structural) &`Monocoat f 75. Dry Chemical � 27. Frame and Flashing . .- i�• 76. Dry Standpipe . ,� � 28. Lathing & Siding ' 77. FIXED SYSTEM FINAL 29. Insulation ' 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT (�� r.� 31. Plaster Brown Coat 79. FINAL INSPECTION , 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED � � �y 33. Final Electric � Notes: - � � � � 34. Final Heating & Air Conditioning . , � � -^ � 35. Final Gas Pipe-Test , � 36. Hood or Canopy , '=37! Final Factory Fireplace / ' . � � n, ..38: Final Plumbing � . . Z.�-y„�& L� i . - - 39' Water Service-Final -[ , � ; 1�� "- _ J � �40: Gas Service-Final ' , � � � i,41: Solar pomestic-Final . � � . " �' , : `42. Backflow Preventer '= ' ' , � _. - 43. Backflow Irrigation- , • ' • . ' ' � 44. Landscape Irrigation System �� r:- � ' � .�. . �`45� Sound Attenuation � ,� � ' ' , 46�. Handicap Regulations � ' �' � . . . � 47. FINALSTRUCTURE&BUILDING - ' . V ' . � � ' �.,�• ' % 48. Special Requirements Completed ' ,� . � + ( � ' 'L ' �. 49. Electric Release to Edison � , + � � , � .>I i�- _ � 50. Gas Release to Southern California Gas Co � � y j 51. CERTIFICATE OF OCCUPANCY ' � ' No� (• .' Date - - � - . _ l.. J . aoonessevem�axc: 3002 COOLIDGE AV °""E"s"""E'F'°'°"": LANDES, SAM �j' 1DDNE%: lOGG7 EL SONETO FOUNTAIN VALLEY 92672 968-1485 �vv�. �,uuxc �ooxess urcxrtecr ox �r+xffn: ANCN.ON ENO.'S ADDRE55: uc. xo.: UNT: IINT: mrrm�crarswu� R.P. HIRSCHMAN (714)960-8329 cartn�cToas�uuxc g g 5 5 ATLANTA �o�u HUNTINGTON BEACH CA uc.no.: 975998 92646 uNr: 285 LICENSED COMHACTONS DECLAHATION: I hereby ellirm ueWar peneXy of pe�ury thei I am Iceneed uMn prnirions of Chepter 9 (oommarciiq wilh Seciion ]000) d Division 3 d �he Buvneae arM Pmleasiom Code, anA my lioense is in lull loRe vM eHep. crzruc.No.:038468 �ic.cuss: C36 �� EXP: 04/96 o�,: �— 3-5 C� �a�„�o.: �� OWNEH BUILUEH DEClAF4710N: I hereby elfiim undar peneAy d perryry Ihal I am exemq Imm tM Canvm«e lxenaeiHwia lhe Idbxig rmson (�� ]031.5 Busiies� enA Profeubns Code: AnY cy m oountY �^'hiN reVuires e pertnN to omstiun. ellor. improve. Eamoloh, ar repei eny ewnure, pnor �o ils cauence, dso reQuir» ihe epplirani la euch pamiil lo fib a eg�wd etalement Met M a aM is lieensed pursueni lo iha provisiom d ihe Conlredors Lieense Lew �Chepter 9(mmmeewiip xilh Seelbn JOW) d DN'sian 3 M tha Busirea eM Prdassuna Code� « ilw ha n eha ia ezemq iharehom aM ihe be� f« ihe elbpee ssemqion. My videtion a Seaion ]031.5 by eny eppliranl lor e parmil subpea Ihe epDlicen� to e ovil penelry W nM more Ihen INa hundred ddlen �5500��. ❑ i,�o�a�orin�worenv«mremdma.•.,en.aae.�ma:,d,�a,��,,wnaoine.wnc�d�awrn�reooam„odaa a oMered /w sde (Sec�ion J00<, Businm eM Professbns Code: Tha ConVepors License lew Eoes ml eppyto en owner oi prapeiry wM buids a inproves �herean. aM ntw doan auch v.wk IimsaX a hane� or ihraqh he a har awn empbyeea, prvrideE Ihe� wch impraremanis era not inteMed w dlered lor aele. X, howeveq �M1e buiqinB or imqovemem ia wld wnhin ana yeer N camplation, tM owrrr-buiNx xill heve tM WNen d proviip M1e w sM EN iwl Wik or improva la IM WT�a d eeb). ❑ I, m owwr W �he propeM. � exdueively can�reamp wiih licensad conlreclaa to con9rua �he prol� (Sedion )OCd, Buainas eM Proleesiom Code: The Cantreqm L'cenae lew doea mi epply to en owror d popeMy w1w WiNa a impovea iheraon eM vAa comrectv Iw such D�al�9 �h e mn�recim�s) Icensad punuant to ihe Comrmwn Limnae lew). ❑ I am esemq uMer Secivn: B. 8 G.C.. Iw Mz reeson: Date: Owner: i eo narenr �annv wm i� e.�a d d,d �meB�,e ma �.c��.«�a,�. a cmaom�e r�nn d,e smmr caea s�a:�. usos, zesu, �d 255�0, end Ihel I or any Mura Wikiiq ampenl will / wil nq (ti�cb me) nead to camply wih seid qele oodes eM iM reQui2meMs la a oan�n ra cw.wniona,modirraimnom ine n40ueTiiy .Tereeemem oi��a. Raeiaemiel conet�ueion ecvrraian e.a uemn� kwn meae p,ovisiw,s. o�a: eow�c WOqKEF'S COMPENSATION OECLAXATION: I hereby elfi�m urdx pereliy d perjury aw d IM lollowiip dstlereiuen: ❑ ineVee�a»;nmdm�a�na�w.d��niosan.��a�rob�woMen�a<�vmo,�wonaadiwMs�a�ooam,�e« caa.. r« ma wn�e a o» � �a..mon m�s w�u � a.�a. � I heve end xiY meinten woMen' mmpenaeiun insurence, ee reQuirad by $eclion �)Op d �M Lebor Cade, l« the parlormence d ihe wak �a xhieh �hia pemiM1 ia 6sued. MY wnkan' mmpanmlbn inwreze renier aed pdiry number ara: c�„�,.: STATE FUND EXPIRES Pdiry Numbec � � �� R q o— 10 / 01 / 9 6 Rnr: �nrc� ��d �,oi ba �o�a�.d e rn. ro�e is ro. ona n��d�d ediemisrool w ieu ) � I cenAy ihat.in �ha peAoimenca d tM woM lor which thie permn is iaeueE. I shell ria empby eny pareon in vry menner p as ia becoma aubpo lo ilw workers' mmpeneation kv.s d Cel ' d e� I snouk bacome wbjea to iM worken compansetion P��a M Sed'an 3]00 M ihe lebor I ahell l �I comP h ihme pwiaum. D�e: I —'J —S �v a�w� �— Weml�p: FaNun ro ucun woiltxs'rompsiuntlon [ws2p� h unMwNl, entl �MII su6/scf an smployw ro cAMrw/ p�ruMu enC c/vll flne� up ro ons Iruntlretl tlpuartl Eollere (5100,000), In etld/tbn ro ths cwt ol rompeiwtbn, ASlnpss �a povWeC br /n SxHan JRIfi ol tl's L�borCotlr, Intenat, antl ettomey'a M�. CONSTRUCTION LENDINO AOENCY: I hereby eXirm uMer penelry d perlury ihe� �hare is e mnatrudion brMinp eBency br IM �no�� a ma �«x i« wn�m ma ro�� ss�ea (smo� aos�. cx. c�. _ LENDEH'S NAME: LENOEN'S RDONE55: I<ehiy �M1al I heva read iho appliceiion eM s�ele iM1ei tM ebova inlwmmion ia caned. I qrea �o cwnply wi�h all'ity eM muMY �inerces end eime lews releiin0 �o �ilding conrrvciim eM hereby eWhor¢e mpresan�etivea W Ihis dry lo enler upon �ha ebwe�menfor�ed pmpaM in inspedan puryous. HOH HIRSCHMAN /- Pnnt Name C � 3 — o��—s � (515t16WP) Whna-Buildiq d Selmy: GreemFle: Cenery-AOG��C Rnk-Pevenue; Galdenmd-A9ae�or CITY OF COSTA MESA — BUILDZNG PERMIT PERM NO: B 075818 PERMIT NO: B 075818 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION : T/OFF INSTALL 25YR COMP/ 4PLY GARAGE SQ FT: 4,635 t�\ CLAIM VALUE: 4,635.00 CALC—VALUE: 4,635.00 GROUP OCC: R-3 / COMMENTS: 4 PLY BUILT UP ROOF ON GARAGE �**�tx��r�r*��*rt*�t*+t�x-***�r�r*x-*�r�r�rt�t********************+t*�t*�t*�r�t*****�r�***x�**�at*�t**�� Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 14114906 ZNE: REF NO:. PLANNING NOTESa ' � i� 1Elf if if !E iE jE if 1E 1F if iflf i(�if'iE if if iE jf iE �FlF iE iE 1E 1E iF 1E ik iE �k iE iElE iE fElE 1E 1E jF 3E iE 1Elf !E if 1E iElE 1ElE iE iF 1E 1E 1f IE iE 1E 1ElF IE �E iE 1E iE 1E 1E iE 1k 1f 1E if ik iE 1f if iF D E V EYL O P M E N T S E R V I C E S R E Q U I R E M E N�T S ZONING APPROVED BY DATE: ' / ' !•� HUILDING APPRO�'ED BY : DATE: f� APPLICATION ISSUED BY: � % DATE: iE 1ElE 1E 9ElE iE'lE iE aE �E �E 1ElE IE k iE 1ElE iE 1E iE {F��3F�E ifTf� �fiF �FTfTf��E� ��f �f�E �� f�iE iE 3f iElE')E 1ElE 3E iE��iE if LEGALIZATION:N F E E S U M M A R Y STROCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 72.00 50 SMIP/NON—RES PLAN ISSUE FEE HUILDING—DIV—> PERMIT ZSSUE PLAN—CHECK TOTAL PAID DOE TOTALS----> 72.50 0.00 0.00 72,50 72.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 72.50 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTAIC MECHANIC FIRE SMIP/TOT GAADING PLAN—CHECK 72.00 ,50 +��,�+��*,��*****�**�� *��*��,«�***��«�*�r*�*�*+��**��**��« � ��***� **�+� I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 4635 REROOF HY VALUE RESIDENTIAL NOZONE 1.00 4,635,00 END OF FEES L': Of1197�3f,-•nQI4�5" Tr;a�p' 72.SI1 QN?E; 0110;.'v'i T1M.E: �S:,i3 _ J'ONSTRUCTION AND PLANNING POOL & SPA ' r APPROVALS Permit # Date Inspector AppROVAL5 Permit # Date InsPector � �d �� 1. Temporary Electrical Service or Pole � 52. Pool &,Eguipment Location , . � 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement . � 3. Elecc�ical Conduit-Utllity-Undrgmd, - 54. Forms - '"�4. Electrical Conduit�Undrgrnd. � 55. Electrical 6onding. � � � 5.,�Steel Reinforcement'`. " 56. flough Plumbing & Pressure Test �6. ��lectrical UFER G'rnd. 57. APPROVAL TO COVER-GUNITE 7: F.00tings " � 58. Electrical ConduirUndrgrnd. , 8. F.oundation _. -� .. � 59. Gas Pipe, G Undrgmd., Test : � 9. Water Pipe�Undrgrnd'. � � � � 60. Backwash Lines, P;Trap, � Undrgmd. � 70. Structural Floor System . - 61. APP�ROVAITO�DECK - 1 i. ProPerty Sewer Line & House Connection 62. Backwash & f±eceptor-Final ' � � 12. Sewer Cap ` ... 63. Heater & Vent-Final � . • 13. Roof Drains � 64. Plumbin� System - Final 14. Rough Piumbing.-, . 65. E�ectrical�finai , . _ , : 75. Rough Electricai-Condurt -� 66. Solar SYstem-Final ' 16. Rough Electric Wirin2� - , 67. Fencing & Access Approval � V. Rough Wiring Sign � � 68. APPROVED FOR'PLASTERING � � 18. Rough Electrical��T Bar CeilingT� 69. POOUSPA SYSTEMS FINAL 19.' Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �- - r 20. RoughFaFtor"y;Pireplace ' ' , _ ._. APPROVALS ,-Pei.mit# ' 27. Ducts, in �Structure- -� �� • 70. Underground Hydro � 22. D.ucts, Ventilating "" ' � , � _ .• 77, Produci Piping O Gas C10i1 23. Gas Pipe-Rough & Test ��-+ _ - � 72, Underground Ftusfi' ' 24. RootFraming ' - ' ' ` ' _ �;73'. Undergrnd.Stor,age,l'ank`L�Gas ❑Oil 25. Roof Sheathing : ,� Y,f`` * t� 74.�Overhead HYdro- . � i . 26. T-8ar Ceiting (Structuraq & Monocoat - '� 76'i Dry Chemical - . 27. Frame and Fiashing „ , -. 76. Dry Standpipe �' � ' 28. Lathing & Siding � '' ' =�_`"�� n� - " ' , 77,. FIXED SYSTERA�PINAL •. 29. Insulation � � �r. ` . . � ' . , � . 78. FIRE PREV. FINAL ' . '30. DrY�vall Nailing HEALTH DEPT. REQUIR�EMENT 31. Plaster 0rown.Coat • � 79. FINAL INSPECTION 32. Electrical P-owei Meter�Finai � -"�SQ. FOOD CERTIFICATE 15SUED_. ,� ,-33. Finai,�Electric- ' � � � Notes: f . - -� 34. Fina!`Heating & Air Conditioning J ' � .- � ' � 35. Final Gas`�Pipe-Test � � � � � . . _ -36. Hood or Canopy - ' - � * '37. Final Factory Fireplace� .. ,� _ " • -+38. Finai Plumbing •. - '� � r: � , --- 39. Water'Service�Final ' ' ' � , ' � � ` 40. Gas Service-Final �� - - �' �+ 41. Solar pomesticFinal � , " ' � � 42. Backflow Preventer . - , - • � �� 43. Backtlow Irrigation , . - -- , . ` ' r '" � , 44. Landscape Ir�igation System :� � .. ' � � ' " - - � ' - - ��^ - 45. $ound Attenuation � _ t ' _ . � ` 46. Handicap Regulatlons � c'- - � 47. FINAL STRUC7URE & BUILDING l�z(v�q6 �L,..(� - " _ 48. FINALPLANNING . � e � � 49. Electric Aelease to Etlison J � ' ' 50. Gas Releas'e to Southern Calitornia Gas Co • � - � 51. CERT.IFICATEOFOCCUPANCY ' � No Date LoT 2�4 TRn cr �42H1 ' ' �� ,, '�� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX Hf7 CO�A MEBh CALIPORNIA � Fo� Applicanf fo Fill In Complefely - TYPE OR PRINT COSTA MESA CALIFORNIA FEE�. RECE9V,ED �% JAN 111�2 1 �INANCE DEPT. GITY OF COS1A MESA APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIPT NO. PERNI . Np. � OWNER � 'l7 `� P.-R.V"- Pl; I I 1 MAIL ''� PLACENT IA AVENUE R8 EO BY DA RECE/IV�EG/ oA E I AODRE55 ��C� I �— �p �F'� � G��y - NEWPORT BEACH� �CALI��'II 63227 BUIL�ING �- ADDRE88 aecHrreci 7E�. COSTA MESA. CALIFORNIA OR ENGINEER � NONE NO. -�--�� 61ZE u PLACENTIA AVENUE RT BEACH TEL. No. M � . 6-32z7. NO. OP BLDOB. O �n � NOW ON LOT 0 I LEF7 �v � �" I RIGHT DESCRIPTION OF WORK BZEtSU G DAK 6��SF.pOOMS �2 /'M STOF EXTERIOR WALL ROOF COVERIN6 Tll O COVERING f USE OP BUILDING AND WORK TO BE PHRFORMED � • YLAN j( � R ' . R8lV ACKNOWLEDGB TXAT � HAVH R6AD TXI6 APPLIGTION 6TATE THAT THE ABOVE �8 CORfl6CT AND AGRE¢ TO GOM- WITX ALl CITY ORDINANCee ANO 6iATE LAW! RBpUI.ATING DINO CONBTRUGTION. J // ATURE OF G%�J�% i(�/'�/j Qn . . AGHNT FIRE ZONE APPROVED �eae� ZONING xo. oF uae oF Hew ; PL�N6 � BUILDINO �/ R 47 z Y i�v-i �cexren une sr.� L. SIDE /� REAR �'� L APPROVED , O i0^ BY C�q N "I � ^_ IN. —� IN. IN. ? //cr IN. iATE I /9 /G L TNE AMOUNT 6HOWN UNOER VALIIATION I6 FOR THE PURPOB¢ OP EBTA9L18NING A PERMR FEE ONLY. VALUATION / PERMIT FEE $ �C- / CJ` � l $ � j j '�z% PLAN CHECK $ •� � ��_i